Southwest Family Practice Clinic - Medicare Primary Care in Texarkana, AR

Southwest Family Practice Clinic is a medicare enrolled primary clinic (Family Medicine) in Texarkana, Arkansas. The current practice location for Southwest Family Practice Clinic is 3417 U Of A Way, Texarkana, Arkansas. For appointments, you can reach them via phone at (870) 779-6000. The mailing address for Southwest Family Practice Clinic is 3417 U Of A Way, Texarkana, Arkansas and phone number is (870) 779-6000.

Southwest Family Practice Clinic is licensed to practice in Arkansas (license number ). The clinic also participates in the medicare program and its NPI number is 1215935234. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (870) 779-6000.

Contact Information

Southwest Family Practice Clinic
3417 U Of A Way
Texarkana
AR 71854-1419
(870) 779-6000
(870) 779-6093

Primary Care Clinic Profile

Full NameSouthwest Family Practice Clinic
SpecialityFamily Medicine
Location3417 U Of A Way, Texarkana, Arkansas
Authorized Official Name and PositionAmanda D George (VICE CHANCELLOR-CHIEF FINANCIAL OFF)
Authorized Official Contact5016865670
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southwest Family Practice Clinic
3417 U Of A Way
Texarkana
AR 71854-1419

Ph: (870) 779-6000
Southwest Family Practice Clinic
3417 U Of A Way
Texarkana
AR 71854-1419

Ph: (870) 779-6000

NPI Details:

NPI Number1215935234
Provider Enumeration Date07/13/2005
Last Update Date07/12/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4082528955
Medicare Enrollment IDO20040129001063

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Medical Identifiers

Medical identifiers for Southwest Family Practice Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215935234NPI-NPPES
092113201MedicaidTX
213409069MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Arkansas)Primary
261QC1500XClinic/center - Community Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southwest Family Practice Clinic acts as a billing entity for following providers:
Provider NameMichael R Downs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639177959
PECOS PAC ID: 7618865361
Enrollment ID: I20040305000446

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Provider NameBelinda Hutcheson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639177728
PECOS PAC ID: 3072588250
Enrollment ID: I20040831001068

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Provider NameRussell E Mayo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568469211
PECOS PAC ID: 8527036573
Enrollment ID: I20040917001130

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Provider NameMatthew W Nix
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184680530
PECOS PAC ID: 7719932839
Enrollment ID: I20050420000638

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Provider NameKyle Diaz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1063675650
PECOS PAC ID: 8224214200
Enrollment ID: I20110510000282

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Provider NameWilliam Brainerd Ventres
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932251006
PECOS PAC ID: 5395731509
Enrollment ID: I20171030001194

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Provider NameMarjorie Hudson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538697438
PECOS PAC ID: 9537593173
Enrollment ID: I20200107001752

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› Verified 6 days ago

Provider NameKenneth G Ross
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265752810
PECOS PAC ID: 7416187455
Enrollment ID: I20220808001414

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› Verified 6 days ago


Family Medicine in Texarkana, AR

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Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 401 East St, Texarkana, AR 71854
Phone: 903-614-8337    Fax: 903-614-5251
University Of Arkansas For Medical Sciences
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Medicare: Not Enrolled in Medicare
Practice Location: 3417 U Of A Way, Texarkana, AR 71854
Phone: 870-779-6000    
Genesis Primecare
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Medicare: Medicare Enrolled
Practice Location: 1205 E 35th St, Texarkana, AR 71854
Phone: 870-216-0080    Fax: 870-216-0093
Southwest Ar Medical Clinic Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 1205 E 35th St, Texarkana, AR 71854
Phone: 610-554-3274    
All For Kids Clinic
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Medicare: Medicare Enrolled
Practice Location: 300 E 6th St, Texarkana, AR 71854
Phone: 870-779-6000    Fax: 870-779-6125
Primary Care Specialists
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 502 E 24th St, Texarkana, AR 71854
Phone: 870-777-8733    Fax: 870-495-2181

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